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J Thorac Cardiovasc Surg 2005;130:580-581
© 2005 The American Association for Thoracic Surgery

Brief Communication

Aneurysmal circumflex coronary artery with fistulous connection to the coronary sinus

Afksendiyos Kalangos, MD, PhD, DSc(Hon), FECTS a , * , Saziye Karaca, MD a , Mustafa Cikirikcioglu, MD, PhD a , Dominique Vala, MD a , Dominique Didier, MD b

a Clinic for Cardiovascular Surgery, University Hospital of Geneva, Geneva, Switzerland
b Department of Radiology, University Hospital of Geneva, Geneva, Switzerland

Received for publication January 19, 2005; accepted for publication February 8, 2005.

* Address for reprints: Afksendiyos Kalangos, MD, PhD, FECTS, Clinic for Cardiovascular Surgery, University Hospital of Geneva, 24, rue Micheli-du-Crest 1211, Geneva, Switzerland (Email: afksendyios.kalangos@hcuge.ch).

The first 20% of the full text of this article appears below.

Circumflex artery fistula to the coronary sinus is a rare clinical condition, with only 4 cases previously reported in the literature. 1–4 Go We describe another case of congenital circumflex artery aneurysm draining into the coronary sinus in an adult woman.

In this 66-year-old female patient, a pathologic cardiac murmur had been diagnosed 10 years previously, and further cardiac workup showed the presence of a circumflex artery fistula to the coronary sinus without any aneurysm formation. The patient refused the interventional closure of this fistula because she was asymptomatic. During these 10 years, she had progressive dyspnea on exertion that was further complicated by the onset of permanent atrial fibrillation. She finally agreed to an operation, but before surgical intervention, she was urgently admitted to the hospital for congestive heart failure with . . . [Full Text of this Article]




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 Eur J Cardiothorac SurgHome page
J. Hajj-Chahine, F. Haddad, I. El-Rassi, and V. Jebara
Surgical management of a circumflex aneurysm with fistula to the coronary sinus
Eur J Cardiothorac Surg, June 1, 2009; 35(6): 1086 - 1088.
[Abstract] [Full Text] [PDF]


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